Asthma control in rural, semi-urban and urban populations in Vellore, India: an interview study of patients and primary care physicians
Contributors
-
1.
Christian Medical College
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2.
University Hospitals Birmingham NHS Foundation Trust
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3.
University of Birmingham
Description
Background
There are an estimated 269 million patients with asthma worldwide, with around 35 million in India where the management of asthma remains a great challenge. The main aims of this study were to gain insights into patient and primary care physicians views and perspectives regarding asthma and understand the facilitators and barriers to uptake of treatment and engagement with health services in Vellore district of South India.
Methods
The study involved semi-structured interviews with a purposively selected sample of patients (n=46) and primary care physicians (n=20) to address the research aims. Fieldwork took place in February-June 2022. Data were analysed using thematic coding.
Results
The study found there to be substantial gaps in knowledge among patients across the sample, and physicians also reported variable levels of expertise and a desire for additional training. The study also suggested that cultural and religious aspects were important in shaping attitudes and behaviours and that these were consistent across different geographical groups.
Conclusions
This study suggests the need for multi-pronged strategies including culturally tailored and targeted supportive interventions towards improving asthma care, as well as provision of free or subsidised treatment for those economically deprived. Furthermore, sustainable practical and clinically orientated training initiatives are needed for primary care physicians.
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Additional details
Identifiers
- Other
- UK R&I Global Challenges Research Fund via Institute of Global Innovation, University of Birmingham
Dates
- Accepted
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2023
References
- Vos T, Lim SS, Abbafati C, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020; 396(10258): 1204-22.
- Global Asthma Network. The Global Asthma Report 2022. https://firsnet.org/images/publications/s1.pdf.
- Krishna MT, Mahesh PA, Vedanthan PK, Mehta V, Moitra S, Christopher DJ. The burden of allergic diseases in the Indian subcontinent: barriers and challenges. Lancet Glob Health 2020; 8(4): e478-e9.
- India State-Level Disease Burden Initiative Air Pollution C. The impact of air pollution on deaths, disease burden, and life expectancy across the states of India: the Global Burden of Disease Study 2017. Lancet Planet Health 2019; 3(1): e26-e39.
- Langan, S.M., Mulick, A.R., Rutter, C.E., Silverwood, R.J., Asher, I., García‐Marcos, L., Ellwood, E., Bissell, K., Chiang, C.Y., Sony, A.E. and Ellwood, P., 2023. Trends in eczema prevalence in children and adolescents: A Global Asthma Network Phase I Study. Clinical & Experimental Allergy, 53(3), pp.337-352.
- Asher, M.I., Rutter, C.E., Bissell, K., Chiang, C.Y., El Sony, A., Ellwood, E., Ellwood, P., García-Marcos, L., Marks, G.B., Morales, E. and Mortimer, K., 2021. Worldwide trends in the burden of asthma symptoms in school-aged children: Global Asthma Network Phase I cross-sectional study. the lancet, 398(10311), pp.1569-1580.
- Mahesh, P.A., Moitra, S., Mabalirajan, U., Garg, M., Malamardi, S., Vedanthan, P.K., Christopher, D.J., Agrawal, A. and Krishna, M.T., 2023. Allergic diseases in India–Prevalence, risk factors and current challenges. Clinical & Experimental Allergy, 53(3), pp.276-294.
- Grover C, Goel N, Chugh K, et al. Medication use in Indian children with asthma: the user's perspective. Respirology 2013; 18(5): 807-13.
- Rastogi D, Gupta S, Kapoor R. Comparison of asthma knowledge, management, and psychological burden among parents of asthmatic children from rural and urban neighborhoods in India. J Asthma 2009; 46(9): 911-5.
- Clarke V, Braun V, Terry G, Hayfield N. Thematic analysis. In Liamputtong, P. (Ed.), Handbook of research methods in health and social sciences . Singapore: Springer. 2019: 843-60.
- Lofland J, Snow DA, Lofland L. Analysing Social Settings: A Guide to Qualitative Observation and Analysis. Thomson Wadsworth, South Bank, Victoria. 2006.